Individual
MICHAEL GRITZUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8410 S 73RD PLZ STE 106, PAPILLION, NE 68046-1514
(024) 592-2219
(531) 247-5563
Mailing address
1141 MAYBERRY PLZ, OMAHA, NE 68108-3868
(026) 750-0285
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
08887
IA
1223G0001X
General Practice Dentistry
Primary
7281
NE
Other
Enumeration date
11/09/2011
Last updated
03/26/2024
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